WeVote

Bill

Bill

SB 276

Recovery of Medical Assistance from Third Party; certain provisions to comply with federal law; revise

2025-2026 Regular Session Introduced by Tim Bearden and 9 co-sponsors

Georgia law revised to align Medicaid cost-recovery procedures with federal requirements, affecting how much injured beneficiaries retain from settlements after state reimbursement.

Effective Date
0
WeVote Research Nonpartisan
Bill Summary · SB 276

Legislative bill overview

SB 276 modifies Georgia's medical assistance recovery laws to align with federal Medicaid requirements, specifically addressing how the state recovers healthcare costs paid on behalf of beneficiaries from third-party sources like insurance settlements or tort judgments. The bill revises provisions governing liens, recovery timelines, and exemptions to ensure Georgia's program complies with federal Medicaid rules while protecting certain assets from recovery claims.

Why is this important

States must recover Medicaid costs when beneficiaries receive compensation from third parties, but federal law limits how and when states can pursue these claims. This bill affects Medicaid recipients who receive settlements or insurance payouts—determining how much they keep versus what goes to reimburse the state for their medical care. The changes impact both individual beneficiaries' financial recovery and Georgia's Medicaid program finances.

Potential points of contention

  • Beneficiary burden: Stricter recovery mechanisms could leave injured or sick individuals with reduced settlement amounts after Medicaid reimbursement claims, potentially leaving them undercompensated for actual losses
  • Federal compliance timing: The bill may shift when and how the state can claim liens, potentially creating conflicts between federal timelines and state collection efforts
  • Exemption scope: Disagreement over which assets should be protected from recovery (home equity, income, etc.) balances state cost-control against beneficiary financial security

Compiled from official sources — confirm details with the bill’s official record.

Sign in to ask a question.